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- 101 Washington Ave, # 7
- Grand Haven Speech Partners, LLC
My practice specializes in intensive therapy blocks to provide children with the necessary repetition required for successful treatment for CAS. Specifically, therapy is provided 1 hour per day, 5 days per week, for 6 weeks. Therapy is provided in the home and additional home practice is strongly encouraged. At the beginning of a therapy block, a few specific goals are chosen based on the child's overall level of communication, sound repertoire and syllable shapes, and co-occurring deficits. One or more complex target is typically included.
Each therapy session consists of numerous repetitions of target words or phrases. Once the child can successfully produce a target, randomized practice is very quickly introduced to improve motor learning and transfer of skills. Throughout therapy, the child is moved up or down the hierarchy (including simultaneous production; tactile, visual, gestural cueing, immediate modeling, delayed modeling and independent productions) to achieve accurate results.
I am PROMPT trained, so these tactile cues are often used throughout therapy, in addition to visual cues (mirror work, written words, therapist/parents face, etc), gestural cues, and auditory cues. Children may participate in up to three 6-week therapy block per year, and therapy goals for each block may be chosen using a cycles approach. Past goals are considered in conjunction with current levels of progress to either continue working on sound patterns in longer utterances or choosing new sounds.
The private practice I previously worked at treated many children with co-occurring apraxia and autism. We worked very closely with other therapists in the area specializing in apraxia as well to provide the best therapy for our clients. I am currently in a new geographical area, beginning a new private practice, so I am just beginning to get involved in the community here.
In my therapy blocks, parents are encouraged to observe and participate in every session if they are able. This way parents learn about their child's productions along with the child and are able to learn about successful cues, etc. Home practice activities are provided each day for the parents and children to practice together. Parents are encouraged to ask questions throughout the therapy to facilitate their increased knowledge. My most successful cases have had the most involved parents, and they are my greatest asset in this process!
Some of the ways I have used AAC with children with CAS include:
- Basic, low-tech pictures to make choices in order to reduce communication frustration while working on improving communication through speech
- Teaching children to use AAC (low or high tech) for communication repair, including writing, spelling, drawing pictures or selecting pictures
- Using an established AAC device to reinforce the speech practice